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BP-144/112, HR-120. Should I be on medication?

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Hello. BP: 144/112 tonight. HR: 120. Should i be on medication for this?

Category: Cardiologist

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Category: Cardiologist
 26 Doctors Online

thank you for your medical query at
I understand your concern.
It depends on whether you have a previous history of hypertension or other cardiac ailments? What is your age? Do you have cholesterol? Kindly give answers to these questions and I can guide you further.
Feel free to discuss further,

Patient replied :

Yes I have had a hx of hypertension before. My mother has angina and is T2DM. I do smoke. I was diagnosed with arrhythmia at age 22. I have had ECGs done in the past. They have been abnormal. Lately I have been getting dull chest pain.But it eventually subsided. BGLs are between 5-7. I have been tested for DM and the test was negative.

In that case, you definitely need medicines, however, I will still advise the BP be monitored for 3 days and if persistently the diastolic values are over 90, you will need to start Tab. Envas ( Enalapril ) 5 mg once daily, and any calcium channel blocker according to your physician's guidelines. You need to start with these 2 medicines, Enalapril has long-term good protective effect on the heart too.
Hope this was helpful,

Dr. Vivek Mahajan
Category: Cardiologist
Fellowship: DM, Cardiology, PGIMER, 2013
Residency: MD, Internal Medicine, AIIMS, 2007
Internship: King Edward Memorial (KEM) Hospital, 2003 
Medical School: MBBS, Seth G.S. Medical College, 2002
Dr. Vivek Mahajan and 4 other Medical Specialists are ready to help you

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